HomeMy WebLinkAbout49668-Z o�SUEFOL��o Town of Southold 9/24/2023
�� Gyri P.O.Box 1179
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44561 Date: 9/24/2023
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1600 Westview Dr Mattituck
SCTM#: 473889 Sec/Block/Lot: 107.-7-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in'this office dated
8/8/2023 pursuant to which Building Permit No. 49668 dated 9/11/2023
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
"as built"partially finished basement to existing single-family dwelling as applied for.
The certificate is issued to Barna,Katherine&Glover,Charles
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49668 9/15/2023
PLUMBERS CERTIFICATION DATED
0 A ho iz(I
d Si nature
�suFFo TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
C* x TOWN CLERK'S OFFICE
Way • SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 49668 Date: 9/11/2023
Permission is hereby granted to:
Barna, Katherine
1600 Westview Dr
Mattituck, NY 11952
To: Legalize "as built" partial finished basement in an existing single-family dwelling as
applied for. Additional certification may be required.
At premises located at:
1600 Westview Dr Mattituck
SCTM # 473889
Sec/Block/Lot# 107.-7-18
Pursuant to application dated 8/8/2023 and approved by the Building Inspector.
To expire on 3/12/2025.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $902.40
CO-ALTERATION TO DWELLING $50.00
Total: $952.40
Building Inspector
oF souryo� .
* # TOWN OF SOUTHOLD BUILDING DEPT.
rycou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] tm.SULATIOWCAULKING
[ ] FRAMING /STRAPPING [ FINAL '0 �� ��"'� •
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
1
Eck
L)
i
DATE °[ INSPECTOR
06
q-v
e,vv
OF SOUTHp�o � � r
# # TOWN OF SOUTHOLD BUILDING DEPT.
coorm, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: .5
DATE 052-3 INSPECTOR
pF SOUTyoI
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(-town.southold.ny.us
Southold,NY 11971-0959 Q�y100iJNT`1,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Katherine Barna
Address: 1600 Westview Dr city,Mattituck st: NY zip: 11952
Building Permit* 4966$ Section: 107 Block: 7 Lot: 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Big Sky Electric License No: 5164ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service
Commerical Outdoor 1 st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 10 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water Gas GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 15 CO2 Detectors
Sub Panel 100A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO 2
Transfer Switch 200A UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 5 4'LED Exit Fixtures Sump Pump
Other Equipment: 100A Sub Panel 24 Circuits
Notes: " AS BUILT NO VISUAL DEFECTS " Basement
Inspector Signature: Date: September 15, 2023
S.Devlin-Cert Electrical Compliance Form
?IELD INSPECTION REPORT DATE COMMENTS
b
FOUNDATION (1ST)
------------------------------------ hoc
FOUNDATION (2ND)
S Z�
z
o �
H
ROUGH FRAMING&
PLUMBING
J
. � J
I
r
INSULATION PER N.Y.
STATE ENERGY CODE
. l
FINAL
ADDITIONAL COMMENTS �S
2 do -�l0 3ft co.�
r�, o
Z
w �
N
ro
� z
I
x.
d
ro
H
TOWN OF SOUTHOLD-BUILDING DEPARTMENT
�y = ; Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 htips://www.southoldtownnygov
Date Received
APPLICATION FOR BUILDING PERMIT
L� I_ For Office Use Only
i9
PERMIT NO. tP P3 Building Inspector: AUG 8 2023
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an Building Department
Owner's Authorization form(Page 2)shall be completed.. 'Down of Southold
Date: T Z�
OWNER(S)OF PROPERTY:
Name: c��,� (Q-S Lo v--Qs SCTM#1000- I Q f
Project Address: G 0 d OC , I l(C. 'i C k /"�/ NS
Phone#: 'f 29 Email
Mailing Address: 6vWC Clef �� a W1� G
`72
CONTACT PERSON:
Name: C -A 100A
9
Mailing Address:
Pogo G 0
Phone#: 63 1 D&4-1 Email: c ;+6p CieU c9 ,. .Ze�
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:,(, /'
Name: ( v I S M D\A CD `Ilk — I n yvi
Mailing Address: C+G S
Phone#: 63( - 3S5 P Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition [--]Alteration ❑Repair ❑Demolition Estimated Cost of Project:
other A S - 60LTr FINIS"H 1-7AJ97"1 $
Will the lot be re-graded? Will excess fill be removed from premises? ❑Y s ONO
1
PROPERTY INFORMATION
Existing use of property:QpefP.0 Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
6 this property? ❑Yes 17SNo IF YES, PROVIDE A COPY.
Check-Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by
Chapter 236 of the_Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,
housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary Inspections.False statements made-herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): MAVV- -� i'`�'J�rZ /,l� thorized Agent ❑Owner
el A-
Signature of Applicant: �" f�luf Date: Q$ O� 12 J
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU6185050
COUNTY OF li -�/l.{L Qualified in Suffolk County
Commission Expires April 14,2
fc LAUD being duly sw ,deposes and says that(s)he is the applicant
(Name of individual signing c ntract)above named,
A(S)he is the14 �i�V
( ontracto ,Agent,Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this application are true to the best of his/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this �(
day of
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, c�C'1 &[Ckru residing at h
/gGV I� N—/ do hereby authorize to apply on
my beh ; to +Rm Town of S .m d Building Department for approval as described herein.
�LlZ3
Owner's Signature Date
cr 0-1 oviz—r
Print Owner's Name
2
S\�fFOil ' BUILDING DEPARTMENT - Electrical Inspector
Ak
1\1Y2 wP TOWN OF SOUTHOLD
. Town Hall Annex - 54375 Main Road - PO Box 1179
a�o Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(a7southoldtownnygov - seand D-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: 1( S -5:-1-ed-a', c.- C
Electrician's Name�e;,,.\j_\5
License No.: 5L4z, Elec. email
Elec. Phone No: ;\ .`� -7�:y=- ❑I request an email copy of Certificate of Compliance
Elec. Address.: j p5^ Sj t3" ,ra N k% 117ti'-,
JOB SITE INFORMATION (All Information Required)
Name: L-GC.f���
Address:
Cross Street: (Z)cs3Lr (L�
Phone No.:
Bldg.Permit#: email: CVcr-Jr� oar ���(V�c (-�
Tax Map District: 1000 Section: %0 Block: Lot: ,S
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
1 )3 Con)>ilwnS
rnT�rt�nc9 3 �/�r{ v`,A-rc 1,iccesS4 Square Footage: �00 4-
Circle All That Apply:
Is job ready for inspection?: YES ONO ❑Rough In F Final
Lnl
Do you need a Temp Certificate?: F-� YES ❑ NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph[-]3 Ph Size: A # Meters Old Meter#
[-]New Service[]Fire ReconnectOFlood Reconnect ElService Reconnect[]Underground Overhead
# Underground Laterals 1 2 H Frame El Pole Work done on Service? D Y DN
Additional Information:
PAYMENT DUE WITH APPLICATION
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
`" Southold, New York 11971-0959
4- o��,;' Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr -southoldtownny gov seandCcD-southoldtovvnny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: ! ✓�
,Company Name: '�,' (46 SY_
Electrician's Name. G yvk S
License No.:tMt>r_ rl,tI Elec. email: td- ccage, rvrn
Elec. Phone No: ,tqr) [:]I request an email copy of Certificate of Compliance
Elec. Address.: icyl- /\,A.weqA Sf l n
JOB SITE INFORMATION (All Information Required)
-Name:
Address:
Cross Street: 0(r)c5JC's
Phone No.: (41f 2� L? jc�
Bldg.Permit#: - email: CV a./- rif oV,�'r
Tax Map District: 1000 Section: Block: 7 Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
-13� F ?,Zz.r 1•-- R�tS�n LSS ",�[? 'IFirwt�l
c aX�rW7 r -`.Gmt Pic f c Square Footage: +
r.nprt�ncv orifi=S w I� �CCS,d o®
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On
Temp Information' (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT P Address
Switches `
Outlets
GFI's
Surface
Sconces
HH's
UC Lts
Fans
Fridge HW
Exhaust Oven WAD
DW Mini
Smokes 1
Micro Generator
-arbon
Cooktop Transfer
-ombo
Service
\C AH Hood
Amps Have Usec
-pec al: / 1)Q) �_ S
omments __ �� / `ter
Renewal of SKP 2012550 12:01 A M Sumdarcl Tunes at[tie Name Imogea's,Adaross
Managing General Agent Transaction RENEWAL
AC Uadrrnri!ars Agency,Inc.
2250 ChaFgl Are.'A'ast
Charry Hill,NJ 080D2 Transaction Effective: 12/21/2022
Named Insured and Address Agent
LUIS F. MONTOYA GOMEZ OXFORD MILLIN INS AGENCY LTD 0002245
DBA MONTOYA HOME IMPROVEMENT 261 OLD YORK RD SUITE 824
465 THERESA DRIVE PO BOX 684
MATTITUCK NY 11952 JENKINTOWN, PA 19046
Telephone: 215-517-7590
Business Description Type of Business Audit Period
CARPENTRY INDIVIDUAL Annual
IN RETURN FOR THE PAYMENT OF THE PREMIUM,AND SUBJECT TO ALL THE TERMS OF THIS POLICY,WE AGREE
WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY.
LIMITS OF INSURANCE
General Aggregate Limit (Other than Products-Completed Operations) $ 2,000,000
Products-Completed Operations Aggregate Limit $ 2,000,000
Each Occurrence Limit $ 1 ,000,000
Personal and Advertising Injury Limit $ 1 ,000,000
Medical Expense Limit, any one person $ 5,000
Fire Damage Limit, any one fire $ 100,000
AMENDED LIMITS OF LIABILITY
Refer to attached schedule, if any.
LOCATIONS OF ALL PREMISES YOU OWN, RENT OR OCCUPY
Refer to attached schedule.
CLASSIFICATIONS
Refer to attached schedule.
POLICY PREMIUM $ 1 ,348.00
DEPOSIT PREMIUM $
TAXES AND SURCHARGES $
TOTAL DEPOSIT PREMIUM $
Forms and Endorsements Applicable to this Policy
See Forms And Endorsments schedule
See Forms and Endorsements Schedule
These Declarations together with the common policy conditions,coverage declarations, coverage form(s) andform(s) and
__.J....,---—6— :f., , •l+'_ ..L....... r...rr.M..r..d r...l:.... .^s 1
Suffolk County Dept. of
Labor, Licensing & Consumer Affairs
10 HOINAE IMPROVEMENT LICE14SE
Name
LUIS F VONT OYA - GOMEZ
Business, Name
IF'.- is cer-tifies that the
)earer is d.L,IY ficersed, %10;11f OYA H'ON/ E V PROVEM ENT
DY, the County of suff olk
License Number: H-56379
Rosalie Drago Issued: 01/21 /2016
Co,rn n-1 s s i o r e r Expires: 01/01 /2024
\ •vV
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES APPROVED AS NOTED Z
AS REQUIRED AND CONDITIONS OF
DATE-�`23 B.P.# W2)
5a q6SOUTHOLD T0t1N ; ; FEE:_!.-_BY
" NOTIFY BUILDING DEPARTMENT AT Q
- 765-1802 8 AM TO 4 PM FOR THE `Z
FOLLOWING INSPECTIONS: O
\
SOUTHOLD TOVJ?4TRU=rS � 1. FOUNDATION-TWO REQUIRED x FOR POURED CONCRETE U
DEC 2. ROUGH-FRAMING,PLUMBING, r h
STRAPPING, ELECTRICAL&CAULKING
3. INSULATION z
4. FINAL-CONSTRUCTION&ELECTRICAL
MUST BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. W
�4
a1
ELECTRICAL
INSPECTION REQUIRED
L F
cV I
N 1
I
W
t Tire separation W
7'-11/s" I 1 13'-2'/2" rcquircd
t Cr O Q C)
NYS Code
W W
t i i z
N I 1 I
1
SOFFIT I OFFICE RECREATION I Additional
SD � H
6-8'h" I B'-0"CLG I Certification
�R O
SOFFIT i�'i
lO *BeRequired6-81h" I .
I GARAGE
10'-2'/2" I 1 51-7" 41-61/211 I
8'-0"CLG
CO I O I
I Q
I
1 1 -1 1 m m 0
U
MAX MUM OPENING 1-"' Q y
N
CLOSET b' ' ' 1 ' 1 37"+/-FINISHED OPENING p m p
L. 1 1 rn
O ON DEMAND I6 X Q U
H20 — — — ------------------------1 1•-----------------------• 1tu
L @ m
O — — — 1
37 1 1 1 1 U
O EXP. Z W
1 I 1 1 p
TANK p 1 1 1 1 � p1 '� � Q
1 1 1 y
1-
' „ in 45min IRE RATED u ^ E N
6-01/4DOOR'v/SC HINGES 1 d)
N
H
AND STEEL JAMB ; 9
PEX TUBING � ' ' ' ' O 111
HOME RUNS FURNACE SD 1
N
UTILITY ROOM
N
s'-o°CLG � z LU
T ENTRY o d
Zn 8'-0"CLG
sz U
10'-4" 91-91/211 !^
45min F RE RATED
DOOR w/ C HINGES DECK ABOVE w
AND STEEL JAMB 1N
WATER �.�
W
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
� a
BASEMENT PLAN ' �i ^ ChA
SCALE: 1/4" = 1'-0"
F 4 A
DRAWN:
SCALE:
JOB#:
`} . .. - 8/4/2023
SHEET NUMBER:
A- 1